Enrolled Camper Form 2025

Last Name *

First Name *

Camper's Grade (Fall 2025) *

Camper Tee Shirt Size

Name of Contact Parent /Guardian *

First

Last

Primary Contact Email *

Primary Emergency Contact Number *

Swim Level *

Non-swimmer. May demonstrate paddling, kicking, or fear of water. Wears flotation device.
Beginner. Demonstrates forward motion on back or front without floatation device.
Intermediate. Able to swim length of pool, proficient stroke skills.

After Camp Plan *

Does the child have any Allergies, Medical Conditions or Special Needs/ IEP? *

Yes
None Known

List or Describe Allergies, Medical Conditions or Special Needs/ IEP?

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